Abstract
Perceptions of the health risks associated with smoking in comparison with not smoking were assessed for the self and the “typical smoker” among four groups of adults: current, former and nonsmokers in the community, and smokers who had joined cessation clinics to help them quit. Comparisons across groups indicated that risk perceptions differed as a function of smoking status. Clinic attendees reported the highest smoking risk and the greatest perceived benefit of not smoking, and community smokers reported the lowest of each. In addition, community smokers were the only group to exhibit an “optimistic bias” (i.e., a perception that they were less vulnerable to health risk than was the typical smoker). Results from this cross-sectional study suggest that the decision to engage in and to stop risky behaviors is related to the perceptions of the health risk associated with those behaviors.
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References
Ajzen, I., and Fishbein, M. (1980).Understanding Attitudes and Predicting Social Behavior. Prentice-Hall, Englewood Cliffs, NJ.
Gibbons, F. X., Gerrard, M., Lando, H. A., and McGovern, P. G. (1991). Social comparison and smoking cessation: The role of the “typical smoker.”J. Exper. Soc. Psychol. 27: 239–258.
Gibbons, F. X., McGovern, P. G., and Lando, H. A. (1991). Relapse and risk perception among members of a smoking cessation clinic.Health Psychol. 10(1): 42–45.
Hansen, W. B., and Malotte, C. K. (1986). Perceived personal immunity: The development of beliefs about susceptibility to the consequences of smoking.Prev. Med. 15: 363–372.
Lee, C. (1989). Perceptions of immunity to disease in adult smokers.J. Behav. Med. 12: 267–277.
Leventhal, H., Glynn, K., and Fleming, R. (1987). Is the smoking decision an “informed choice?” Effect of smoking risk factors on smoking beliefs.JAMA 257: 3373–3376.
Mattson, M. E., Pollack, E. S., and Cullen, J. W. (1987). What are the odds that smoking will kill you?Am. J. Public Health 77: 425–431.
Mausner, B., and Platt, E. S. (1971).Smoking: A Behavioral Analysis, Pergamon, New York.
Perloff, L. S. (1987). Social comparison and illusions of invulnerability to negative life events. In Snyder, C. R., and Ford, C. E. (eds.),Coping With Negative Life Events, Plenum Press, New York, pp. 217–242.
Perloff, L. S., and Fetzer, B. K. (1986). Self-other judgments and perceived vulnerability to victimization.J. Personal. Soc. Psychol. 2: 502–510.
Peto, R. (1980). Possible ways of explaining to non-medical people the quantitative dangers of smoking.Health Educ. J. 39: 45–46.
Prochaska, J. O. (1979).Systems of Psychotherapy: A Transtheoretical Analysis, Dorsey Press, Homewood, IL.
Prochaska, J. O., and DiClemente, C. C. (1982). Transtheoretical therapy: Toward a more integrative model of change.Psychother. Theory Res. Pract. 19: 276–288.
Prochaska, J. O., DiClemente, C. C., Velicer, W. F., Ginpil, S., and Norcross, J. C. (1985). Predicting change in smoking status for self-changers.Addict. Behav. 10: 395–406.
Roper Organization (1975).Study of Public Attitudes Toward Cigarette Smoking, The Roper Reports, New York.
Roper Organization (1980).Study of Public Attitudes Toward Cigarette Smoking, The Roper Reports, New York.
Rosenberg, L., Kaufman, D. W., Helmrich, M. S., and Shapiro, M. B. (1985). The risk of myocardial infarction after quitting smoking in men under 55 years of age.N. Engl. J. Med. 313: 1511–1514.
Rosenstock, I. M. (1966). Why people use health services.Milbank Q. 44: 94–127.
Sutton, S. R. (1987). Social-psychological approaches to understanding addictive behaviours: Attitude-behaviour and decision-making models.Br. J. Addict. 82: 355–370.
Sutton, S. R., and Eiser, J. R. (1984). The effect of fear arousing communications on cigarette smoking: an expectancy-value approach.J. Behav. Med. 7: 13–33.
Taylor, S. E., and Brown, J. D. (1988). Illusion and well-being: A social psychological perspective on mental health.Psychol. Bull. 103: 193–210.
Urberg, K. and Robbins, R. (1984). Perceived vulnerability in adolescents to the health consequences of cigarette smoking.Prev. Med. 13: 367–376.
U.S. Department of Health and Human Services (1987). The health general. Public Health Service and Center for Disease Control, Office of Smoking and Health, Rockville, MD.
U.S. Department of Health and Human Services (1989). Reducing the health consequences of smoking: 25 years of progress. Public Health Service, Centers for Disease Control, Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, DHHS Publ. No. (CDC) 89-8411.
U.S. Department of Health and Human Services (1990). The health benefits of smoking cessation. Public Health Service, Centers of Disease Control, Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, DHHS Publ. No. (CDC) 90-8416.
Velicer, W. F., DiClemente, C. C., Prochaska, J. O., and Brandenburg, N. (1985). Decisional balance measure for assessing and predicting smoking status.J. Pers. Soc. Psychol. 48: 1279–1289.
Weinstein, N. D. (1984). Why it won't happen to me: Perceptions of risk factors and illness susceptibility.Health Psychol. 3: 431–457.
Weinstein, N. D. (1987). Unrealistic optimism about susceptibility to health problems: Conclusions from a community-wide sample.J. Behav. Med. 10: 481–500.
Weinstein, N. D. (1988). The precaution adoption process.Health Psychol. 7(4): 355–386.
Winer, B. J. (1971).Statistical Principles in Experimental Design, 2nd ed. McGraw-Hill, New York.
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This research was partially supported by NIDA Grant R01DA03950.
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McCoy, S.B., Gibbons, F.X., Reis, T.J. et al. Perceptions of smoking risk as a function of smoking status. J Behav Med 15, 469–488 (1992). https://doi.org/10.1007/BF00844942
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DOI: https://doi.org/10.1007/BF00844942